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Wednesday, August 24, 2011

Re: [AlternativeAnswers] Treatment for a 14-Year-Old Girl With Lyme Disease Using Therapeutic Exercise a



--- On Sun, 8/21/11, Angls4Hope@aol.com <Angls4Hope@aol.com> wrote:

From: Angls4Hope@aol.com <Angls4Hope@aol.com>
Subject: [AlternativeAnswers] Treatment for a 14-Year-Old Girl With Lyme Disease Using Therapeutic Exercise a
To: SymphonicHealth@yahoogroups.com
Date: Sunday, August 21, 2011, 1:12 AM


Treatment for a 14-Year-Old Girl With Lyme Disease Using Therapeutic

Exercise and Gait Training.

Moser MM

Phys Ther 2011 07 7

BACKGROUND AND PURPOSE:/b> Lyme disease is well documented in the

literature; however, specific physical therapy interventions for the

pediatric population with residual effects of Lyme disease have not been

addressed. The purposes of this retrospective case report are:

(1) to present an example therapeutic intervention for a pediatric

patient in the late stages of Lyme disease with related musculoskeletal

dysfunction and severely impaired quality of life,

(2) to report the patient's functional outcomes from treatment, and

(3) to discuss implications for treatment of patients with

musculoskeletal dysfunction in the late stages of Lyme disease.

CASE DESCRIPTION: /b> The patient was a 14-year old girl who had

contracted Lyme disease 1 year prior to initiation of physical therapy.

She was unable to participate with her peers in school, church, and

sporting events due to significant impairments in strength

(force-generating capacity), endurance, and gait; fatigue; pain; a nd

total body tremor. Therapeutic exercise and gait training were used for

treatment. The patient actively participated in managing her care by

providing feedback during interventions and setting goals.

OUTCOMES: /b> After 18 weeks of treatment, the patient achieved 96.7%

of her predicted distance on the Six-Minute Walk Test with normal gait

mechanics and returned to playing high school sports. She had a manual

muscle test grade of 4/5 or greater in major extremity muscle groups.

She returned to school and church participation with minimal total body

tremor when fatigued and daily pain rated 0 to 3/10.

DISCUSSION:/b> Therapeutic exercise and gait training may facilitate

return to function in an adolescent patient with late effects of Lyme

disease. Further investigation is advised to establish treatment effects

in a broader population.

[Non-text portions of this message have been removed]

[Non-text portions of this message have been removed]

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